Is ICD-10-CM code I95 billable?

No, I95 (Hypotension) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code I95 belong to?

I95 belongs to Chapter 9 of the ICD-10-CM tabular list: I00–I99 (Diseases of the Circulatory System).

I95Not billable, use a more specific code below

Hypotension

In Other and unspecified disorders of the circulatory system (I95-I99), chapter 9: Diseases of the Circulatory System

7 billable codes under I95: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

cardiovascular collapse (R57.9)
maternal hypotension syndrome (O26.5-)
nonspecific low blood pressure reading NOS (R03.1)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.

Hypertension (page 50)
Atherosclerotic Coronary Artery Disease and Angina (page 52)
Intraoperative and Postprocedural Cerebrovascular Accident (page 53)
Sequelae of Cerebrovascular Disease (page 53)
Acute myocardial infarction (AMI) (page 54)

Read Section I.C.9 (page 50)

All codes under I95

I95 can't be used on a claim. Pick a billable code below; grey headings group them.

I95 MS-DRGs

As the principal diagnosis, the billable codes under I95 group to MS-DRG 312, 314, 315, or 316 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 312 Syncope and Collapse (4 of 7 codes)
DRG 314 Other Circulatory System Diagnoses with MCC (3 of 7 codes)
DRG 315 Other Circulatory System Diagnoses with CC (3 of 7 codes)
DRG 316 Other Circulatory System Diagnoses without CC/MCC (3 of 7 codes)

Other codes that refer to I95

Notes on these codes point to I95.

R03.1 Excludes1: hypotension (I95.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Low Blood Pressure

You've probably heard that high blood pressure is a problem. Sometimes blood pressure that is too low can also cause problems. Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps out blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure. Your blood pressure reading uses these two numbers. Usually they're written one above or before the other, such as 120/80. If your blood pressure reading is 90/60 or lower, you have low blood pressure.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.